Evidence map›Paper›PMID 33324740›Full record

ArticleTransplantation direct2021

Direct-Acting Antiviral Therapy in Liver Transplant Patients With Hepatocellular Carcinoma and Hepatitis C.

Chung Sang Tse, Ju Dong Yang, Omar Y Mousa, Kevin M Nelson, Surakit Pungpapong, Andrew Keaveny, Bashar A Aqel, Hugo Vargas, Rolland C Dickson, Kymberly Watt and 3 more

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Chung Sang TseDivision of Gastroenterology, Brown University, Providence, RI.
Ju Dong YangDivision of Digestive and Liver Diseases, Department of Medicine, Cedars Sinai Medical Center, Los Angeles, CA.
Omar Y MousaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Kevin M NelsonDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Surakit PungpapongDivision of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL.
Andrew KeavenyDivision of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL.
Bashar A AqelDivision of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ.
Hugo VargasDivision of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ.
Rolland C DicksonDivision of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ.
Kymberly WattDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Gregory J GoresDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Lewis R RobertsDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Michael D LeiseDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Mayo Clinic in Arizona · USJacksonville College · USBrown University · USCedars-Sinai Medical Center · USMayo Clinic in Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Direct-acting antivirals (DAA) are highly effective for the treatment of hepatitis C (HCV), although there are limited data on the safety and efficacy of DAA therapy in hepatitis C-positive individuals awaiting liver transplantation for hepatocellular carcinoma (HCC).

methodsWe conducted a retrospective cohort study of HCV-positive patients who underwent liver transplantation for HCC at 3 liver transplant centers across the United States from 2014 to 2017 with follow-up to July 2018. Transplant recipients who received DAA before transplant were compared with those who did not (DAA naive) for posttransplant HCC recurrence rate, sustained virological response (SVR), allograft failure, and death using Kaplan-Meier analysis and Cox proportional hazard models.

resultsA total of 171 HCV-HCC transplant recipients (99 pretransplant DAA; 72 DAA naive controls) were included, with a median follow-up of 24 months. The overall posttransplant HCC recurrence rate was 9% (15/171). Pretransplant DAA was not associated with HCC recurrence (5% versus 14%;

conclusionsPretransplant DAA for HCV was not associated with an increased risk of posttransplant HCC recurrence, though pretransplant DAA had lower efficacy than posttransplant DAA in HCV-HCC transplant recipients.

Identifiers

PMID33324740
PMCPMC7725260
OpenAlexW3117494081

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.